SAM SADEGH MALAKOUTI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125037120

License Status

EXPIRED

Business

Title

First Name

SAM

Middle

SADEGH

Last Name

MALAKOUTI

Business Name

SAM SADEGH MALAKOUTI MD

Original Issue Date

07/15/1997

Effective Date

07/15/1997

Expiration Date

07/13/2001

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006